enjoy all the foods i love. oh, zero heartburn is awesome. just like zero clery. ♪ [ male announcer ] prilosec otc. one pill each morning. 24 hours. zero heartburn. all right, that's our theme song, folks. you know what that means. it's time for sunday housecall. great to vuhave you here. >> i'm eric shawn. for the next half hour, we're going to make you healthier. joining us is dr. david samadi. chief of robotic surgery. >> and dr. marc siegel. author of the inner pulse, unlocking the secret code of sickness and health. that's right, you get two opinions for the price of one. great to see both of you, doctors. i wanted to begin with this. the fda is talking about a major

public threat. turns out there's a major shortage in prescription drugs so which ones and how worried should we be? >> we shouldn't be worried. this is good news. i'm glad we're opening with positive news. fda is coming down on manufacturers since 2010, we have had over 546 drugs that are really short, that has put pharmacies in a lot of trouble and frustrated patients. a lot of the shortages of medications, propofol, tamiflu, on and on, it's because manufacturers may not make enough profit, they don't necessarily to have to report to the fda, and maybe they're not getting enough raw material to make it on time. so this cycle has continued. fda this weekend said they're going to really look into this, have an open communication with all of these manufacturers. they want to put pressure on them to make sure this doesn't happen again, and the

interesting part about the whole thing is there's a new website where all of the hospitals can come in and communicatcommunica. let's say your hospital has more propofol than mine, i can say, can somebody help? and you can jump in and work together, which is great. if they decide to stop a medication or not make it anymore for any reason, they have to report to the fda so there's advanced notice to the pharmacy. >> that's a good thing. >> absolutely. a lot of times in my practice, i see patients who say the prescription is too expensive, i can't get it. they go to canada, et cetera. i have said this before, if you're going to go out of the count country, which i don't think it's a good idea, but if you r have to, make sure there's a seal, vips. verified internet pharmacy site. they have to be verified. that's very important. >> i want to ask if this races a

bigger question that the drug companies have this much control over what prescriptions you can prescribe to patients. >> i was dubious the fda could do anything about this. in 2011 when there was a presidential order allowing the fda to get involved, there was 251 drug shortages. last year, with the fda involved, it's down to 115. number one problem is raw materials. 90% of the raw materials for these drugs come from overseas. some of what the fda has had to do, and they recently did this with norway. they went to norway and said we don't have the solutions we need for intravenous feeding and they got it from companies in norway. it would be better if we were manufacturing it here, that's for sure. the second is sterilization. when you're talking about intravenous medications, the fda also regulated how sterile they

are. sometimes when the shortage is there, the fda can step up the process for getting approval for something and get the company through the steps for sterilization. the biggest problem, though, is generics. here's why. when you have a cancer drug, we're talking about heart medication, cancer drugs, antibiotics, blood thiners, steroids, all the drugs you need, the problem is once they go generic, the drug company doesn't make a profit. that's back to your original question, jamie. they can't force a drug company to make something that isn't profitable. >> and the issue is that the injectable drugs marc is talking ability, there's not a lot of money to be made with this. the antibiotics are going to generics, a lot of the medications we deal with. that's part of the problem. with the fda coming in, this hopefully will start to slow down. >> we started on a good note. >> flu season, get your shot yet? some people don't want to get a shot. this comes as there is a

stunning report from the cdc that claims children who were healthy and get the flu are dying from flu complications. you wouldn't think in this day and age, you would still have flu deaths, especially among children. >> last year was a particularly bad season for flu, the worst since 2004 because it started very early, and a lot of elderly were hospitalized. 167 children died of complications from the flu. what people out there need to know is the flu isn't what kills you or gets you in the hospital. it's the other things you get when your immune system is affected, like pneumonia was the number one reason children died. if you have asthma, diabetes, heart disease, it's all the more reason to be vigilant about the flu because if the flu come s parading in on top of someone with diabetes, that's when they get sick, pregnant and young women, they're recommending flu shots for everyone over the age of 6 months. i agree for one reason.

the reason is something we call herd immunity. if you're in the house with a young child or in the house with a pregnant woman or with a chronically ill person, if you get a flu shot, the chanceoffs the flu entering the house is much lower. we have to create a ring of immunity around the house that's at risk. g >> you say get a flu shot? >> flu shots for all. we have 135 million doses this year. i know david has a quiz. >> you're a doctor, though. your immune system must be beyond needing a flu shot after everything you have been exposed to. >> it's mandated for everybody in the hospital to get vaccinated. this story was important because not only was it in the journal ofpedaterics, they looked at it over a decade. we're talking about healthy kids. this is really important. they got sick and also died within a few days. you want to be careful. >> trying to avoid the quiz. >> last year, we did this.

a lot of people loved it. i started with you. maybe we can start with eric this time. >> yeah, eric. let's see. >> okay, so we've got the flu shot. and now immediately after, you got really sick. can you get sick from the flu shot? >> no, because it's a dead virus. >> how about the mist, the nasal mist? >> the first is correct. the nasal mist -- >> people say they get the flu shot and feel lousy for a couple days. >> it just happens that you may feel lousy, but you're not going to get the flu from the shot itself. it's coincidence. this goes to dr. siegel. a lot of people think there are preservatives and they can cause autism. what's the news on that? what is your thought on that? ? a couple points. great question to ask me. actually, some flu shots are now available without thur mare sol, but it has never been shown to cause autism. we spent so much time and resources studying that, we could have spent that looking for other causes. >> and it's the reason people won't take a flew shot.

>> there's no data to make a connection. i know a lot of people may not agree with that. there's no clinical data to prov that. the other one is a neurologic and muscle weakness that we see once in every 2 million shots. that's extremely rare. back to jamie. i got a flu shot last year. what do i need to get it again? do i need to get a flu shot every year? >> yes, doctor, you need to get a flu shot every year. know dr. siegel is going to chase me around the studio until i do. >> he's not leaving me alone, also. >> we want dr. kolby to get a shot on the show here. >> the reason is because the strains change every year. and pregnant women, are they safe to get flu shots? we gave it away a little before. >> yes? >> yes. >> really? >> and any kid 6 months and up, they need a flu shot. >> get a flu shot. >> many places, you can get defor free, too.

>> our immune systems are the best defense against any illness. the doctors are going to explain how an ordinary illness can turn deadly next. >> and did you turn the clock back an hour? can daylight savings tyke affect our health? the doctors will fill us in on why we should or should not worry even with the extra hour of sleep. daylight savings time, sunday hou housecall, only on the fox news channel. on the u.s.s. saratoga in 1982. [ male announcer ] once it's earned, usaa auto insurance is often handed down from generation to generation because it offers a superior level of protection and because usaa's commitment to serve current and former military members and their families is without equal. begin your legacy. get an auto insurance quote. usaa. we know what it means to serve.

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she's agreed to give it up. that's today? [ male announcer ] we'll be with her all day to see how it goes. [ claira ] after the deliveries, i was okay. now the ciabatta is done and the pain is starting again. more pills? seriously? seriously. [ groans ] all these stops to take more pills can be a pain. can i get my aleve back? ♪ for my pain, i want my aleve. [ male announcer ] look for the easy-open red arthritis cap. hi, everybody. welcome back to sunday housecall. supposed to protect your body against those outside invaders, but even our immune system can get confused sometimes and attack healthy cells. when that happened, an ordinary infection can turn deadly. dr. samadi, what kind of infection are you talking about?

>> any kind of infection in the body, whether it's a urinary tract infection or in the lungs, anywhere. if you don't take care of them early on, this can spread to the blood. then the immune system is going to go after the infection, releases all these mediators. they start attacking every organ. they're going to go by mistake, after the kidneys, liver, heart. something we call multisystem failure. eventually, it's going to go into septic shock. any doctor who has seen this knows what i'm talking about. the patient is confused, there's fever, the blood pressure falls down because there's not enough fluid in the system, the heart rate is up. you see 120 heart rate, et cetera, time is of the essence. if you waste time and go through the whole differential diagnosis, you can lose the patient. this is septic shock. you have to get fluid immediately, make sure there's iv antibiotics and you can save lives. sepsis kills about 200,000

people all year. more than prostate cancer, breast, and colon cancer together. if you're confused, your blood pressure is down, you're feverish, go to the hospital, make sure you see anyone. the earlier you intervene, the better we can save your life. >> that's what eric wanted to ask. how do you know, what do you tell your doctor? >> when you're in the hospital, it's 1% to 2% of the cases, david said, you have to find it early, within a few hours. 75% of the time it's deadly. your heart is pumping, but your blood vessels open up. they dilite and they're not supposed to. i'll tell you why. why are they supposed to dilate? you want to get the blood flow to the kidneys, to the organs. your heart starts beating faster and faster to make it up. still can't preserve blood flow to your brain, to your kidneys. what do we do when we intervene? we give antibiotics.

we give fluids, but we give a drug called a presser, where we press down on the arteries. we press down on the arteries to preserve floblood flow to the brain, to the kidneys, to the liver to fight back as the antibiotics take effect. >> let me ask you this, dr. samadi. are you talking about other than urinary tract infections, which is your expertise. are you talking about if you cut yourself and get an infection, something as little as that could become sepsis? >> absolutely. urinary infection, infection from a wound, a heart infection. it can start pretty much anywhere in the body. we try to find out where it started. >> look, if you're diabetic, infection is going to shoot up your sugar. for some reason, if you sugar is not being fixed and you feel te feeling yourself, the idea is not to take antibiotics and sleep off, go see a doctor.

we put these large central lines, we may have to intubate somebody, the earlier the doctors intervene, giving the fluids, sometimes we give them four liters within a few hours to catch up based on the dynamics. >> if you don't feel well, see the doctor. >> you know, i also know a case where if you don't get on this, it can be fatal. >> absolutely. >> unfortunately, with a 5% chance of survival, we have nice results. thank you doctors very much. >> did everyone here fall back? did you. how do you feel today? daylights savings has ended. hope you enjoyed the extra hour of sleep. what does that shift really do to our health? the doctors will fill us in on that as sunday housecall continues. she loves a lot of the same things you do. it's what you love about her. but your erectile dysfunction - that could be a question of blood flow. cialis tadalafil for daily use helps you be ready anytime the moment's right.

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she loves to shop online with her debit card. and so does bill, an identity thief who stole mary's identity, took over her bank accounts, and stole her hard-earned money. unfortunately, millions of americans just like you learn all it may take is a little misplaced information to wreak havoc on your life. this is identity theft. and no one helps stop it better than lifelock. lifelock offers the most comprehensive identity theft protection available. if mary had lifelock's bank account alerts, she may have been notified before it was too late. lifelock's credit notification service is on the job 24/7. as soon as they detect a threat to your identity within their network, they will alert you, protecting you before the damage is done. lifelock has the most comprehensive identity theft protection available, guarding your social security number, your money, your credit, even the equity in your home. my years as a prosecutor taught me that we all need to protect ourselves from crime.

in today's world, that includes identity theft. it's a serious problem. we all have to protect ourselves. [ male announcer ] while identity theft can't be completely stopped, no one works harder to protect you than lifelock. you even get a $1 million service guarantee. that's security no one can beat. you have so much to protect and nothing to lose when you call lifelock right now and get 60 days of identity theft protection risk free. that's right. 60 days risk free. use promo code notme. order now and get this document shredder to keep sensitive documents out of the wrong hands. a $29 value free. don't wait until you become the next victim. ♪ ♪

housecall" and time for should i worry? a segment about everything that worries us. did you set the clock back an hour last night? one viewer writes, the clock is changing back and i didn't sleep right. are there health risks? dr. siegel, we get an extra hour sleep exposedly, but how can you still feel tired? >> should i worry? worry in the spring when we spring forward. fal fall back, and david and and i have been talking about this, enjoy it. you could have increase ed sympathetic when you don't sleep enough. you could have more inflammatories in the body. but here, you may get more sleep. so the same study that showed an increase of heart attacks when you don't sleep enough showed a decrease of 10% now. so we're very happy now.

we feel great. and there isn't really any major health risk webs as long as you get that extra sleep. >> you mentioned the heart attacks. the monday in spring is the krap crabbiest day in america. because everyone gets one less hour of sleep and they go to work and everyone doesn't want to talk. >> that's not so good. on monday morning, there's about 15% increase of more vehicle accidents, 5% increase of heart attacks. but there are people that are very sensitive about the change in their biological clock. even one hour can really throw them off and they get these cluster headaches that can go on for six to eight weeks. my advice to them is, number one, enjoy the o'hare hour. i think we should do it every week. it is wonderful. but besides that, if you want to really adjust, you basically change your hour friday or saturday morning. you give yourself two days to recover so when you come on monday, it's not so bad. that's a trick you can do. if you wake up early, most doctors will tell you stay in,

close your eyes and that will help for one extra hour. a change of the sunlight, etcetera, can change the way you would feel and the hormonals. >> i want to ask you this, though, dr. siegel. i think people underestimate the importance of sleep in general. four hours, is that ever enough? six hours? >> no, never enough, four hours. six hours is probably not enough, either. it's probably seven to eight hours that you need as an adult. and we have talked about this before, about the risk of diabetes, stroke, heart disease, all of the on things you worry about, my graim grain hawkeadac and fall is a time for that. every depression, obesity, heart disease, diabetes, stroke, all increase if you're not getting enough sleep. >> which state in america doesn't follow this daylight saving? >> that's cheating because i just chaim came from that yesterday. >> arizona. the other one is hawaii. there are only on 70 countries that really follow this.

so maybe in the future it will change. >> they say they do it for the heat so it's not that hot for so many hours. i don't know. i report. >> and it gets early in the morning bright. but, you know, at 4:00 in the afternoon, it feels like 9:00 at night. >> erica and i want to know because we're fans of napping. not together, obviously, but when you get up at 4:00 in the morning to do a show, it's kind of nice to lay down. do naps count? >> i'm glad you clarified that. but, you know, at 3:00 p.m., there's always a 3:00 p.m. nap. if you take half an hour to an hour -- >> say it again. >> for some reason, around 2:30, 3:00 p.m. every day, try tie half an hour nap. you'll see how energized you'll be. the other thing that mark mentioned is seven hours of sleep is exactly what you need. >> because i'm a huge fan of the naps, too, but let's add that the seven hours is a lot of deep, rem sleep. >> that's what counts. you know who's not sleeping, the new york city marathoners.

they probably didn't last night they were so nervous. so they are running today 26.2 miles. that can really run a body down. coming up, our doctors are going to reveal how to help our bodies bounce back if you are a runner or know one, you'll want to on check it out. we'll be right back. heart healthy, huh?! ugh! actually progresso's soup has pretty bold flavor. i love bold flavors! i'd love it if you'd open the chute! [ male announcer ] progresso. surprisingly bold flavor for a heart healthy soup.

surprisingly bold flavor she loves to shop online with her debit card. and so does bill, an identity thief who stole mary's identity, took over her bank accounts, and stole her hard-earned money. unfortunately, millions of americans just like you learn all it may take is a little misplaced information to wreak havoc on your life. this is identity theft. and no one helps stop it better than lifelock. lifelock offers the most comprehensive identity theft protection available. if mary had lifelock's bank account alerts, she may have been notified before it was too late. lifelock's credit notification service is on the job 24/7. as soon as they detect a threat to your identity within their network,

they will alert you, protecting you before the damage is done. lifelock has the most comprehensive identity theft protection available, guarding your social security number, your money, your credit, even the equity in your home. my years as a prosecutor taught me that we all need to protect ourselves from crime. in today's world, that includes identity theft. it's a serious problem. we all have to protect ourselves. [ male announcer ] while identity theft can't be completely stopped, no one works harder to protect you than lifelock. you even get a $1 million service guarantee. that's security no one can beat. you have so much to protect and nothing to lose when you call lifelock right now and get 60 days of identity theft protection risk free. that's right. 60 days risk free. use promo code notme. order now and get this document shredder to keep sensitive documents out of the wrong hands. a $29 value free. don't wait until you become the next victim.

♪ ♪ today's the new york city marathon and we have some steps, ha ha, for runners to stay healthy. dr. samati, you first. >> well, this is going to be a great day for us. so i want people to know that if you're going to be serious about this, you have to prepare ahead of time. obviously, hydration, hydration, hydration is the key. but not so much right before the actual marathon. you also don't want to take any fibers because you don't want to have any kind of accidents during this. and don't change anything that you're not comfortable. don't try anything new, not new food or anything like that.

load up on the pasta. cash bow hydrates are key. on the day of the marathon, take some potassium. take some banana for potassium. you can get muscle cramps later on in the marathon. and gatorade has a lot of electrolyt electrolytes. >> during the race, you want to be hydrating. 6 to 8 ounces of water every 20 minutes. electrolytes are key, bananas, anything with potassium in it is key. you also want to on be prepared. don't be a weekend warrior and go out there and start a marathon. you have to prepare with 15 to 25 miles a week in advance. six months in advance. you'll get less injuries and less stret stress fractures that way. >> how about energy bars? does that help? >> no, not really. but what does help is the electrolytes. so you can have cliff bars because they have these

electrolyte necessary them. but you're right, carbo loading is helpful. >> i make a big pot of chicken soup for after the race, i have people that come over. >> the salt will help them. and the key is not to stop immediately after the race. you want to continue to have a slow walk -- >> yeah, walk to my house and have a bowl of chicken soup. >> jami is offering economicen soup. >> yeah, come on down. >> i guess your advice is for any runner for any day. not just of the marathon. >> any day you have exercise. >> my meatballs are not so good, i heard, but my chicken soup is great. doctors, great advice. maybe next year we'll run. >> i'll walk. i'll walk it. >> you can do that, too. >> thank you for making us healthy. another half hour of sunday's health spar is always great

advice. that's it for today's house call. >> and don't forget you can follow both of the doctors on facebook and twitter. send them questions that we should use in our should i worry segment. i'm jami colby. media buzz with howie kurtz, right now. take care. on the buzz meter this sunday, a president who's disengaged from the business of governing. a president who didn't tell the truth about keeping your health plan. that indictment covering not just some conservative critics but from the mainstream media. is this a turning point for the coverage of barack obama and an indelible image he won't be able to erase or just a rough patch for the administration? plus, a conversation with barbara walters about "the view." why she's saying away from political stories. >> "the view" is a daytime show. a lot of on people do threat their news from "the view," but it's supposed to be